{"id":89258,"date":"2001-12-03T00:00:00","date_gmt":"2001-12-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/repercusion-de-la-reposicion-de-volumen-en-las-alteraciones-hidroelectrola%c2%adticas-y-la-disfuncion-renal-en-la-ictericia-obstructiva\/"},"modified":"2001-12-03T00:00:00","modified_gmt":"2001-12-03T00:00:00","slug":"repercusion-de-la-reposicion-de-volumen-en-las-alteraciones-hidroelectrola%c2%adticas-y-la-disfuncion-renal-en-la-ictericia-obstructiva","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/repercusion-de-la-reposicion-de-volumen-en-las-alteraciones-hidroelectrola%c2%adticas-y-la-disfuncion-renal-en-la-ictericia-obstructiva\/","title":{"rendered":"Repercusi\u00f3n de la reposici\u00f3n de volumen en las alteraciones hidroelectrol\u00edticas y la disfunci\u00f3n renal en la ictericia obstructiva."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Maite Chicano Gallardo <\/strong><\/h2>\n<p>Enla patogenia de la insuficiencia renal aguda que aparece en el postoperatorio de pacientes intervenidos por ictericia obstructiva io se ha implicado la existencia de una deplecci\u00f3n del agua extracelular. Con el objetivo de evaluar la repercusi\u00f3n de la reposici\u00f3n de volumen en las alteraciones hidrelectrol\u00edticas y la disfunci\u00f3n renal en la io, se ha realizado un trabajo cl\u00edncio, prospectivo y randomizado, en el que se han inclu\u00eddo 29 pacientes con io y un grupo control de 20 sujetos sanos para el estudio comparativo de la situaci\u00f3n basal en los pacientes ict\u00e9ricos. El grupo de 29 pacientes con io se randomiz\u00f3 en dos brazos: un brazo (n=13) al que se rehidrat\u00f3 con 3000 ml de suero glucosalino 24 h antes del drenaje, y otro brazo (n=16) a los que se dren\u00f3 sin fluidoterapia previa. Se analizaron los par\u00e1metros de obstrucci\u00f3n biliar, las hormonas renina, aldoserona, anp y adh, los vol\u00famenes corporales y los par\u00e1metros hdirolectrol\u00edticos y de funci\u00f3n renal.Se hicieron controles en situaci\u00f3n basal, tras la fluidoterapia, y a las 24 horas, 72 horas y 7\u00c2\u00ba d\u00eda del drenaje. En el grupo global de io se constat\u00f3 en situaci\u00f3n basal una deplecci\u00f3n del volumen extracelular junto con una elevaci\u00f3n parad\u00f3jica del anp y una elevaci\u00f3n de las hormonas corrarreguladoras renina, aldosterona y adh,.La fluidoterpia recuper\u00f3 la deplecci\u00f3n del agua extracelular y mejor\u00f3 la funcion renal, observ\u00e1ndose una marcada elevaci\u00f3n delanp y un descenso de la renina y la aldosterona.El drenaje biliar se asoci\u00f3 a una mejora del vol\u00famen extracelular y a una tendencia a la normalizaci\u00f3n del patr\u00f3n hormonal, hubo un deterioro transitorio de la funci\u00f3n renal en el postdrenaje inmediato (a las 24 horas) que se recuper\u00f3 en los d\u00edas sucesivos. Al comparar la evoluci\u00f3n postdrenaje de los grupos de flulidoterpia y no fluidoterpai, se comprob\u00f3 que la reposici\u00f3n h\u00eddrica aceler\u00f3 y mejor\u00f3 la recuperaci\u00f3n de los compartimentos h\u00eddricos, as\u00ed como<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Repercusi\u00f3n de la reposici\u00f3n de volumen en las alteraciones hidroelectrol\u00edticas y la disfunci\u00f3n renal en la ictericia obstructiva.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Repercusi\u00f3n de la reposici\u00f3n de volumen en las alteraciones hidroelectrol\u00edticas y la disfunci\u00f3n renal en la ictericia obstructiva. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Maite Chicano Gallardo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/03\/2001<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Gonzalo Mi\u00f1o Fugarolas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Pera madrazo <\/li>\n<li>Javier Salmeron escobar (vocal)<\/li>\n<li>guillermo Solorzano peck (vocal)<\/li>\n<li>Jos\u00e9 Cantillana Martinez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Maite Chicano Gallardo Enla patogenia de la insuficiencia renal aguda que aparece en el postoperatorio de pacientes 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